Provider Demographics
NPI:1982815833
Name:BECKSTRAND, CYNTHIA R (MT,ASCP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:BECKSTRAND
Suffix:
Gender:F
Credentials:MT,ASCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3883 74 AVE NE
Mailing Address - Street 2:
Mailing Address - City:FORT TOTTEN
Mailing Address - State:ND
Mailing Address - Zip Code:58335-0309
Mailing Address - Country:US
Mailing Address - Phone:701-766-1600
Mailing Address - Fax:701-766-1640
Practice Address - Street 1:3883 74 AVE NE
Practice Address - Street 2:
Practice Address - City:FORT TOTTEN
Practice Address - State:ND
Practice Address - Zip Code:58335-0309
Practice Address - Country:US
Practice Address - Phone:701-766-1600
Practice Address - Fax:701-766-1640
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND#90-508897-I246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist